Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
AMERICAN PUBLIC HUMAN SERVICES ASSOCIATION
Employer identification number
36-2166948
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
4,337,504
4,949,848
5,426,926
5,308,350
4,799,200
24,821,828
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
4,337,504
4,949,848
5,426,926
5,308,350
4,799,200
24,821,828
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
1,579,231
6
Public Support. Subtract line 5 from line 4.
23,242,597
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
4,337,504
4,949,848
5,426,926
5,308,350
4,799,200
24,821,828
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
56,723
91,988
41,812
77,853
92,006
360,382
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
4,176
2,357
7,095
45,776
24,144
83,548
11
Total support (Add lines 7 through 10).
25,265,758
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
9,641,268
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
91.990 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
93.690 %
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
AMERICAN PUBLIC HUMAN SERVICES ASSOCIATION
Employer identification number
36-2166948
Identifier
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 6
THE ELIGIBILITY CRITERIA FOR MEMBERSHIP IN THE AMERICAN PUBLIC HUMAN SERVICES ASSOCIATION (APHSA) IS PRESCRIBED BY THE BOARD OF DIRECTORS. THE CRITERIA FOR MEMBERSHIP IS AS FOLLOWS: (A) ANY AGENCY ADMINISTERING A PUBLIC HUMAN SERVICE PROGRAM ON THE FEDERAL, STATE, OR LOCAL LEVEL. (B) ANY OFFICER OR EMPLOYEE OF SUCH AGENCY. (C) ANY OTHER AGENCY OR ORGANIZATION THAT MANIFESTS AN INTEREST IN PUBLIC HUMAN SERVICES CONSISTENT WITH THE OBJECTIVES OF THE AMERICAN PUBLIC HUMAN SERVICES ASSOCIATION. (D) ANY OFFICER OR EMPLOYEE OF SUCH AGENCY OR ORGANIZATION. (E) ANY OTHER PERSON WHO, IN THE JUDGMENT OF THE BOARD OF DIRECTORS, MANIFESTS AN INTEREST IN PUBLIC HUMAN SERVICES CONSISTENT WITH THE OBJECTIVES OF THE AMERICAN PUBLIC HUMAN SERVICES ASSOCIATION.
FORM 990, PART VI, SECTION A, LINE 7A
THE BOARD OF DIRECTORS IS THE GOVERNING BODY OF THE ASSOCIATION. THE BOARD CONSISTS OF THE IMMEDIATE PAST PRESIDENT OF THE ASSOCIATION, SERVING IN AN EX-OFFICIO STATUS; TWO INDIVIDUAL MEMBERS - ONE EACH FROM EAST AND WEST OF THE MISSISSIPPI RIVER, WHO ARE ELECTED BY MAIL BALLOT OF ALL MEMBERS, THREE MEMBERS APPOINTED AT LARGE, FIVE MEMBERS APPOINTED BY THE NATIONAL COUNCIL OF STATE HUMAN SERVICE ADMINISTRATORS, INCLUDING THE DULY ELECTED CHAIR, TWO MEMBERS APPOINTED BY THE NATIONAL COUNCIL OF LOCAL HUMAN SERVICE ADMINISTRATORS, ONE EACH FROM A LARGE AND A SMALL LOCAL JURISDICTION, ONE OF WHOM IS DESIGNATED AS THE DULY ELECTED COUNCIL CHAIR, AND TWO APPOINTED AFFILIATE REPRESENTATIVES, THE OFFICERS ARE: THE PRESIDENT, VICE PRESIDENT, AND TREASURER ELECTED BY THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11
THE FORM WILL BE SENT ELECTRONICALLY FOR REVIEW BY THE AUDIT FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. DISCUSSION OF THE FORM WILL BE UNDERTAKEN BEFORE SUBMISSION TO IRS IF TIME PERMITS; IF NOT, IT WILL BE DONE AT THE NEXT REGULARLY SCHEDULED SEMI-MONTHLY MEETING OF THE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 12C
THE EMPLOYEE CONFLICT OF INTEREST POLICY IS CONTAINED IN THE EMPLOYEE HANDBOOK AND IS ENFORCED AS ARE ALL EMPLOYEE POLICIES. THE ASSOCIATION HAS NO CONFLICT OF INTEREST POLICY FOR THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15
THE EXECUTIVE DIRECTOR ENTERED INTO A SIGNED CONTRACT WITH THE BOARD AT HIS TIME OF HIRE. THAT CONTRACT ESTABLISHED THE STARTING WAGE. HE SUBSEQUENTLY RECEIVED COLA INCREASES AUTHORIZED BY THE BOARD FOR ALL STAFF THROUGH THE ANNUAL BUDGETING PROCESS. HE ALSO RECEIVED MERIT PAY ADJUSTMENTS UPON PERFORMANCE REVIEW AND APPROVAL BY THE EXECUTIVE COMMITTEE OF THE BOARD AT THE SAME RATE AS ALL APHSA EMPLOYEES. ALL OTHER SENIOR STAFF SALARIES ARE AS ESTABLISHED AT THE TIME OF HIRE AND AS SUBSEQUENTLY ADJUSTED THROUGH STANDARD COLA AND/OR MERIT PERFORMANCE PAY REVIEW PROCEDURES IN PLACE FOR ALL STAFF AND SUBJECT TO OVERALL BUDGETARY APPROVAL BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19
THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
NET UNREALIZED GAINS ON INVESTMENTS: 37,289. EFFECT OF ADOPTION OF SFAS 158 88,263. TOTAL TO FORM 990, PART XI, LINE 5: 125,552.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.